Effect of "SMG" Health Management-based Occupational Therapy on Self-efficacy of Stroke Patients with Hemiplegia

doi:10.12114/j.issn.1007-9572.2020.00.016

Abstract

Abstract: Background　Stroke is a common cerebrovascular disease around the world.In China，its prevalence trend and induced economic burden are relatively high.The prevention and control of stroke involve multiple disciplines.To achieve universal health coverage，it is necessary to prevent and control stroke in a combined way.Objective　To evaluate the effectiveness of occupational therapy based on the "SMG" health management model in improving patient self-efficacy and quality of life.Methods　From November 2018 to February 2019，44 inpatients with stroke-induced hemiplegia from Shanxi Rongjun Hospital were enrolled and were ordered according to the admission time，then by using a table of random digits，23 odd-numbered and 21 even-numbered cases were assigned to control group（with routine occupational therapy），and experimental group（with "SMG" health management-based occupational therapy），respectively.The self-efficacy and quality of life were evaluated using the Stroke Self-Efficacy Questionnaire（SSEQ） and the Stroke-specific Quality of Life
（SS-QOL），respectively.Results　After the intervention，the mean scores of SSEQ，daily activities，and self-management of the experimental group were higher than the baseline levels（P<0.05），and were higher than those of the control group（P<0.05）.The post-intervention mean score of SS-QOL in the experimental group showed a significant increase compared to the baseline level（P<0.05），and it was higher than that of the control group （P<0.05）.Conclusion　Occupational therapy based on "SMG" health management is effective in improving the self-efficacy and quality of life of stroke patients with hemiplegia.

Key words: Stroke, Hemiplegia, SMG, Occupational therapy, Self-efficacy, Health management

摘要： 背景　脑卒中是脑血管系统的一种世界性常见疾病，其在我国的流行趋势和因此带来的疾病负担不容乐观。脑卒中的防控工作涉及多个学科领域，为实现全民健康，实行联合防控模式势在必行。目的　将“SMG”健康管理模式融入脑卒中偏瘫患者的作业治疗，评价其在提高患者自我效能以及生活质量方面的效果。方法　选取2018年11月—2019年2月于山西省荣军医院就诊的脑卒中偏瘫住院患者44例，并根据入院时间进行排序，在随机数字表中随机取一段随机数与之对应，奇数为对照组23例，偶数为试验组21例。对照组进行常规作业治疗，试验组采用基于“SMG”健康管理模式的作业治疗方案。采用脑卒中自我效能感问卷（SSEQ）和脑卒中专用生活质量问卷（SS-QOL）对患者的自我效能和生活质量进行评价。结果　干预后试验组SSEQ总分及日常活动、自我管理评分高于对照组（P<0.05）。干预后试验组SSEQ总分及日常活动、自我管理评分高于本组干预前（P<0.05）。干预后试验组SS-QOL评分高于对照组（P<0.05）。干预后试验组SS-QOL评分高于本组干预前（P<0.05）。结论　基于“SMG”健康管理模式的作业治疗在改善脑卒中偏瘫患者自我效能及生活质量方面效果显著。

关键词: 卒中, 偏瘫, SMG, 作业治疗, 自我效能, 健康管理

HE Fei,ZHAO Huining,HOU Lihong, et al. Effect of "SMG" Health Management-based Occupational Therapy on Self-efficacy of Stroke Patients with Hemiplegia　[J]. Chinese General Practice, 2020, 23(18): 2249-2253. DOI: 10.12114/j.issn.1007-9572.2020.00.016.
贺翡,赵慧宁,侯丽红等. 基于“SMG”健康管理模式的作业治疗对脑卒中偏瘫患者自我效能的影响研究[J]. 中国全科医学, 2020, 23(18): 2249-2253. DOI: 10.12114/j.issn.1007-9572.2020.00.016.

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